| NPI | 1356772917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306737-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01455800) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340925-1) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2023-06-16 |