| NPI | 1396113627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015777) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP015777) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: PA SP020230) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-05-20 |