| NPI | 1780453084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 311808) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 743896-01) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-06-18 |