| NPI | 1417365776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15053300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013879) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP013879) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2025-01-13 |