| NPI | 1932579984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017528) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00686600) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00686600) | |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2022-07-21 |