| NPI | 1306453683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310181) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 11009365) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-06-02 |