NPI | 1952477291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303166) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340459) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2025-02-10 |