| NPI | 1184771610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SPOO8219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN550740) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-07-30 |