| NPI | 1427794189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR15588300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01312900) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01312900) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-02-04 |