NPI | 1487059127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309963) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2288575) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2024-04-26 |