| NPI | 1720751852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP024603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN691196) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-11-08 |