| NPI | 1326565342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308387) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7159) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7159) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NY 308387) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-11-13 |