| NPI | 1295096337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00487600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2270046) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00487600) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2270046) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2025-04-16 |