| NPI | 1811725203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP030186) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP030186) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA MV9007368) | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-08-29 |