| NPI | 1932530078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP020589) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP020589) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: PA CNS000282) | |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: PA CNS000282) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-01-15 |