| NPI | 1386399632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01259300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01259300) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01259300) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-03-20 |