| NPI | 1033634993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 640467) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 640467) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 640467) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |