| NPI | 1336443324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP011124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011124) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NR14058300) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2018-03-17 |