NPI | 1528457926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306792-1) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NY F340930-1) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2017-02-22 |