| NPI | 1346618394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430958) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP201245) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-03-29 |