NPI | 1265583439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340634) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304543) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2009-09-01 |