| 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 |