NPI | 1205049699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340439) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NY 3450439) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2019-06-06 |