| NPI | 1639125784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY F3033641-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340351-1) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-16 |