| NPI | 1366782328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306349) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8194) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8194) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2024-02-06 |