| NPI | 1326209495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP001895H) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA SPOO1895H) |
| 363L00000X Nurse Practitioner (Licence: PA SP001895H) | |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2023-03-07 |