| NPI | 1508924937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340579-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 485599-1) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-07-28 |