NPI | 1376329656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14900300) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14900300) |
Enumeration Date | 2023-09-04 |
Last Update Date | 2024-04-04 |