| NPI | 1922073923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA UP001838H) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP001838H) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-09-17 |