| NPI | 1184854127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00297500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14554300) |
| 163W00000X Registered Nurse (Licence: NY 22650427) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 34340833) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2014-02-07 |