| NPI | 1720531460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00643900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00643900) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2024-05-28 |