| NPI | 1629791413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 26NJ01369300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01369300) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-04-30 |