| NPI | 1780060244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F307707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F307707) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307707) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00583000) | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-11-17 |