| NPI | 1104866797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN06902700) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: NJ 26NO06902700) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-03-03 |