| NPI | 1578044392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019474) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019474) |
| 163W00000X Registered Nurse (Licence: PA RN678624) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-07-29 |