| NPI | 1770818692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3407541) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP18333) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-12-30 |