NPI | 1033402771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F305666-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340800-1) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2011-05-26 |