| NPI | 1780064345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00563800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00563800) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00563800) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-10-19 |