| NPI | 1841255544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 3281971) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3017821) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3401391) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |