NPI | 1306240882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F307996-1) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5809) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 5809) | |
Enumeration Date | 2014-10-13 |
Last Update Date | 2020-11-11 |