| NPI | 1003431693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NJ 363LA2200X) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: NJ 363LA2200X) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |