| NPI | 1427529353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY 308807) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 308807) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NY F308807-1) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NY 308807) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-05-08 |