| NPI | 1821498916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30 306810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5772284) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 34 340937) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |