| NPI | 1285158931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 524614) |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 524614) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nr17321500) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 308475) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |