| NPI | 1285046284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00495800) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95034782) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 234602) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 114111-23) | |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2026-02-09 |