| NPI | 1295036184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f305373-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY f340768-1) |
| 163W00000X Registered Nurse (Licence: NY 552847) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2013-08-20 |