| NPI | 1528723939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ01220300) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ01220300) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-05-28 |