| NPI | 1013573765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP02158) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP02158) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020158) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2021-08-20 |