| NPI | 1871010736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 308468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 654591) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308468) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-01-27 |