| NPI | 1346661873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01407300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F311086) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ01407300) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2024-04-11 |