| NPI | 1164078721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 652438) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00916500) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00916500) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-09-30 |