| NPI | 1124535596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NR21758700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 242186) |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2021-04-29 |