| NPI | 1578509253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340484-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 365175-1) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-05-14 |