| NPI | 1154877967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26nj00666100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26nj00666100) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-10-09 |