| NPI | 1811730161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP029794) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA SP029794) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-09-16 |