NPI | 1205875200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303709) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340561) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2009-01-27 |