| NPI | 1972056117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN282718) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43431029) |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2019-05-14 |