| NPI | 1023606985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F310113-01) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310113) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-07-07 |