| NPI | 1083382972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP025050) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN634240) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182277) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025050) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-03-13 |