| NPI | 1457013161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01407800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024182359) |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2022-12-11 |