| NPI | 1801563127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 408428) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 408428) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 309428) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-12-14 |