| NPI | 1871731976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305038) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 340730) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2012-03-19 |