| NPI | 1679281653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311242) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 11204) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11204) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-07-07 |