| NPI | 1518068519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP006890H) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NN106634) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-01-18 |