| NPI | 1285284992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F309311-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F30911-01) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2024-07-31 |