| NPI | 1306591516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01269300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01269300) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |