NPI | 1134337819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303525) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340529) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2021-09-22 |