| NPI | 1316744287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ15212300) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: NJ 26NJ15212300) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-08-11 |