| NPI | 1114467347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2377445) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 116288-23) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017291) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017291) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2026-04-03 |