| NPI | 1295272821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00701200) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ MK4283696) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-12-15 |