| NPI | 1922504299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN653855) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018580) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |