| NPI | 1477094217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP017317) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP017317) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2020-09-30 |