NPI | 1720233471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340298-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP008981) |
Enumeration Date | 2008-11-22 |
Last Update Date | 2008-11-22 |