| NPI | 1942849229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021323) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PW SP021323) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021323) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-04-07 |