| NPI | 1346265626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 178268-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340410) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-07-19 |