| NPI | 1720528342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5021772) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD AC004881) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00710400) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-10-30 |