| NPI | 1407174956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F307382-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 622666-1) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-07-21 |