| NPI | 1790152239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00584500) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00584500) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00584500) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-01-23 |