| NPI | 1073478046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15544900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR17706600) |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2026-03-20 |