NPI | 1891183786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00193600) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340160-1) |
Enumeration Date | 2014-12-31 |
Last Update Date | 2014-12-31 |