| 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 |