| NPI | 1326585654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017089) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NR17147800) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA SP017089) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017089) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-11-05 |