| NPI | 1508013442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310924) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287510-1) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2025-02-20 |