| NPI | 1558788968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306416-1) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NY F340915-1) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2017-05-18 |