| NPI | 1396587630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP030031) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN721324) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP030031) | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-08-05 |