| NPI | 1023263175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP033587) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-006536) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP010349) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP033587) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2026-02-24 |