| NPI | 1003407776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01107400) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ01107400) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ01107400) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-08-18 |