| NPI | 1619699329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01375400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR23204500) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NR23204500) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-04-08 |