| NPI | 1952477291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 455173) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340459) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-08-22 |