| NPI | 1285187708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307912) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00655000) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00655000) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-09-19 |