| NPI | 1962839308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305597-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 560653-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14175100) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340793-1) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-10-06 |