| NPI | 1235801622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP024898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP024898) |
| 163W00000X Registered Nurse (Licence: PA RN662424) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-11-05 |