| NPI | 1316611254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01198800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14700200) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-08-14 |