NPI | 1346545456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305282-1) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 541776-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340763) | |
Enumeration Date | 2011-01-20 |
Last Update Date | 2020-07-06 |