| NPI | 1346696945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00637000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO10351300) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-25 |