| NPI | 1174989537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430857) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NY 430857) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 430857) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-11-23 |