| NPI | 1205662434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15093900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15093900) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-11-18 |