| NPI | 1285824987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 560570) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP009622) | |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2023-05-30 |