| NPI | 1891260477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019477) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019477) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA MO5096739) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-03-02 |