| NPI | 1235782699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311597-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 653492-1) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 653492-1) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F311597-01) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-03-29 |