| 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 |