| NPI | 1255766671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 2012021982) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306363-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340889-1) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |