| NPI | 1093186926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN648435) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015624) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP015624) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2022-04-04 |