| NPI | 1235248980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN08728900) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NJ 26NC08728900) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-01-08 |