| NPI | 1477959427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430889-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9291826) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9291826) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2018-05-29 |