| NPI | 1912157215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F304969-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340720-1) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |