NPI | 1568004927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26nj00924200) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0104025-C-NP) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2025-04-29 |