| NPI | 1477418390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15485400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15485400) |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2026-02-20 |