| NPI | 1508472713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F309675-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F309675) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f309675-01) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-05-26 |