NPI | 1003251968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306408) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340906) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2022-08-05 |