NPI | 1073910519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00537700) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 26NJ00537700) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00537700) | |
Enumeration Date | 2014-11-26 |
Last Update Date | 2024-04-12 |