| NPI | 1174356786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15115900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26nj15115900) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ15115900) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-11-14 |