NPI | 1245793900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 309135) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NY 309135) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2025-07-15 |