| NPI | 1447763156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00798700) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 26NJ00798700) |
| 363L00000X Nurse Practitioner (Licence: PA SP018121) | |
| 202D00000X (Licence: NJ 26NJ00798700) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2025-01-25 |