| NPI | 1427523273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00905100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019027) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019027) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-03-21 |