| NPI | 1255593703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00170700) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA UP004616H) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-01-04 |