| NPI | 1710451059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01379300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019823) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019823) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01379300) | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2024-04-10 |