| NPI | 1871073882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 308976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 559339) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2020-02-26 |