| NPI | 1457170615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP030930) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: PA RN712920) |
| Enumeration Date | 2024-10-05 |
| Last Update Date | 2024-11-14 |