| NPI | 1669893699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306752) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340927) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0992029) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2021-09-22 |