| NPI | 1558884080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431283) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 717506-1) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NY 431283) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-11-28 |