| NPI | 1215381702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016175) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp016175) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016175) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-06-03 |