| NPI | 1114372943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY F307631) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F307631) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |