| NPI | 1255454088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3002341) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3400521) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2008-12-22 |