| NPI | 1578021796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP019871) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011179) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019871) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-01-11 |