| NPI | 1821168014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F300167) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-12-19 |