NPI | 1457669483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305448) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340775) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2023-10-27 |