| NPI | 1699170696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN727851) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5007286) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA MC4823806) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2020-04-24 |