| NPI | 1215408737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP019691) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019691) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2025-04-08 |