| NPI | 1982983813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 548397) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340817) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-01-06 |