NPI | 1285894766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 587851) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020749) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2024-10-01 |