| NPI | 1750471694 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ14859900) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP01993) | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019903) | |
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2024-09-17 |