| NPI | 1336774504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00998800) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2024-01-09 |