| NPI | 1427771302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 311283) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 311283) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26nr25674200) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26nr25674200) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-06-18 |