| NPI | 1346670015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307138) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 5580) |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2015-12-24 |