NPI | 1730630898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01322200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017006) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2023-12-16 |