| NPI | 1689052318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 699755-1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01397200) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01397200) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-01-23 |