| NPI | 1003275140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00615700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00615700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00615700) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2019-06-21 |