| NPI | 1639806177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP026020) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026020) |
| 363L00000X Nurse Practitioner (Licence: PA SP026020) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-03-05 |