| NPI | 1578343711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F311544) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311544) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 311544) | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-02-01 |