| NPI | 1174256952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: PA SP025231) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA R250650) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |