| NPI | 1881216117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00927100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13771000) |
| 163W00000X Registered Nurse (Licence: NY 764102) | |
| 163W00000X Registered Nurse (Licence: NJ 26NF00054900) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309131) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |