| NPI | 1437623550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306843-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 11479) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2025-06-27 |