| NPI | 1164980793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP020252) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020252) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA RN591243) | |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2020-12-12 |