| NPI | 1508471541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP022487) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA RN693565) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-19 |