| NPI | 1639948805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15012200) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 311022) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-05-30 |