| NPI | 1578388724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15239200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22130300) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-03-04 |