| NPI | 1699386896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309817-01) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NY F309817-01) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-12-02 |