NPI | 1538115084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NJ 26NO6926200) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN6926200) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-07-08 |