| NPI | 1790930733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00967400) |
| Additional Taxonomies | 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice (Licence: CA NP 15061) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 15061) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2021-11-22 |