| NPI | 1609244037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY 307465) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 307465-01) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307465-01) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2026-06-09 |