| NPI | 1194027300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305188) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 340746) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-09-23 |