| NPI | 1528644853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F310177-01) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NY F310177-01) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-03-13 |