| NPI | 1265986319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ14842200) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 25940) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2024-05-13 |