| NPI | 1851813117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 308726) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: PA RN738747) |
| 363L00000X Nurse Practitioner (Licence: CT 11894) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP023435) | |
| 163W00000X Registered Nurse (Licence: CT 207439) | |
| 163WE0003X Registered Nurse, Emergency (Licence: NY 688126) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-05-09 |