| NPI | 1437490620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7268) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340879) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306350) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2021-08-03 |