NPI | 1376759928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304620-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340723-1) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2016-02-18 |