| NPI | 1285646026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP007204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007204) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP007204) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-11-16 |