| NPI | 1447097092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 312005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 585058) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F312005-01) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-11-27 |