NPI | 1689051724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306880) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340953) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2016-01-12 |