| NPI | 1548811946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ14864900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ14864900) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP020273) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-10-09 |