| NPI | 1194191007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14883600) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH COA.17886-NS) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2024-05-06 |