| 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 |