| NPI | 1932347358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA ANP-SP008134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-284406-LPA) |
| 163W00000X Registered Nurse (Licence: NY RN-525897-LNY) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA GNP-SP007994) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-05-16 |