| NPI | 1720226491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00184900) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 34340692) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2015-03-31 |