| NPI | 1205535234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01448300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032502) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01448300) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-04-16 |