NPI | 1821888017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15329500) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11039323) |
Enumeration Date | 2025-05-09 |
Last Update Date | 2025-05-09 |