| NPI | 1942314265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340436-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 482629-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340436) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R218354) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-01-12 |