| NPI | 1083123863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN599619) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA MM4693633) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018153) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-10-10 |