| NPI | 1205211034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F30744) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: NY 307441) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-11-02 |