| NPI | 1205387297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN578356) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-12-09 |