| NPI | 1467503250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012162) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 246873) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 246873) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-04-12 |