| NPI | 1316364003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 311896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 700255) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2024-07-08 |