NPI | 1609204296 |
---|---|
Former Name | KAREN BABCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340062-1) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 276629-1) |
163WP2201X Registered Nurse, Ambulatory Care (Licence: TN 7344852) | |
Enumeration Date | 2013-10-17 |
Last Update Date | 2013-10-17 |