| NPI | 1780283689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP022688) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: PA SP022688) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2025-04-22 |