| NPI | 1770988404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP014366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN631972) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2019-08-13 |