| NPI | 1356173090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15110200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14885200) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |