| NPI | 1114227964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN11172100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN11172100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP005334H) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2022-07-21 |