| NPI | 1790180834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00610000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN595113) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP014488) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2024-10-18 |