NPI | 1710435805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306719) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340923) |
Enumeration Date | 2016-09-17 |
Last Update Date | 2024-03-01 |