| NPI | 1093073769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00097000) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013730) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340960-1) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2016-07-06 |