| NPI | 1194137083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9481550) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00499800) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00499800) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-07-02 |