| NPI | 1649277112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F 302456-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NN084683) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ NN084683) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340387-1) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-07-27 |