| NPI | 1821412883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY AG04240034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 695745) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2024-04-12 |