| NPI | 1659838381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP019563) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP019563) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP019563) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-01-25 |