| NPI | 1245569243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA CRNPSP01193) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SPO11393) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: FL ARNP9204617) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2018-12-08 |