| NPI | 1891141552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 839722) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00636300) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00636300) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2021-05-10 |