| NPI | 1659012979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01284800) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310008) |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2022-04-02 |