| NPI | 1639221344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340163) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 340163) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-03-01 |