NPI | 1619143427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304749-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340687-1) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |