| NPI | 1467016246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018549) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018549) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: PA SP018549) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018549) | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |