| NPI | 1033686035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01349200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176817) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024176817) | |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2024-07-31 |