| NPI | 1497293831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307756-01) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NY 307756-1) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-11-25 |