| NPI | 1760930564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016604) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA RN513715L) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NJ 26NR14478000) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-10-02 |