| NPI | 1578794517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NN05973500) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: NJ 26NN05973500) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |