| NPI | 1689354581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14879100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP031526) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ14879100) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP031526) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2025-03-18 |