| NPI | 1487629663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP006850C) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025692) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP006851H) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-05-17 |