| NPI | 1881178424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019433) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019433) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019433) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-10-02 |