NPI | 1841815370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: PA RN545968) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP022101) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-09-23 |