| NPI | 1679938237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11009168) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00589100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00589100) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-03-15 |