| NPI | 1205494135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NR21490800) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 2018077032) |
| 163W00000X Registered Nurse (Licence: NY 641891) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-06-09 |