| NPI | 1053724799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00442800) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00442800) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00442800) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-12-28 |