| NPI | 1669836771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015859) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15395800) |
| 363L00000X Nurse Practitioner (Licence: NY 312432) | |
| 363L00000X Nurse Practitioner (Licence: DE LP0010799) | |
| 363L00000X Nurse Practitioner (Licence: MD R268993) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP015859) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-08-29 |