| NPI | 1295271419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310063-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619575) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310063-01) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2025-02-11 |