| NPI | 1093141194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306104) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340850) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2014-06-06 |