| NPI | 1447763156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00798700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018121) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-03-17 |