| NPI | 1134523285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306275-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00456400) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340870-1) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2016-05-01 |