| NPI | 1851746143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN605614) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-05-18 |