| NPI | 1689099335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 3783723) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP035997) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN784970) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR21805900) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15567200) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 668458) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2026-05-27 |