| NPI | 1518550151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP023415) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP023415) |
| 163W00000X Registered Nurse (Licence: PA RN530044L) | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2022-03-17 |