| NPI | 1679446876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15444500) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15444500) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15389300) | |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2026-01-26 |