| NPI | 1245752138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NY 663206) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 663206) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |