| NPI | 1265380141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15542700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F312745-01) |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-06-22 |