| NPI | 1609597137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310741) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 310741) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F310741) | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-07-22 |