| NPI | 1053533208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340605-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00148300) |
| 163W00000X Registered Nurse (Licence: NJ 26NR13075600) | |
| 163W00000X Registered Nurse (Licence: NY 493146-1) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-03-07 |