NPI | 1063772747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305953) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340834) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2015-10-20 |