| NPI | 1497940126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00377700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 538566-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR12672400) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305027-1) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340729-1) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-09-16 |