| NPI | 1265520878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340273) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 247781) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NY 247781) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-05-20 |