| NPI | 1437756954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01055100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01055100) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |