| NPI | 1265950315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00729300) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010403) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2021-06-07 |