| NPI | 1396392460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26ZNJ00950100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00950100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00950100) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-04-17 |