| NPI | 1710941224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340197-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP01442) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-11-14 |