| NPI | 1689032922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22 412011) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 34 340293) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |