NPI | 1457448953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302227) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340371) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2012-07-27 |