NPI | 1790889293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301781) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340059) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2011-09-23 |