NPI | 1619265857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NJ 26NR12309000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12309000) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |