| NPI | 1538738026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ14963700) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP022622) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-11-28 |