| NPI | 1164909289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F308839) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY AG07180242) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY AG07180242) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY AG07180242) | |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2021-09-21 |