| NPI | 1356516447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309288) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NY 643723) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-09-16 |