| NPI | 1912419169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00774900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00774900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00774900) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2024-07-15 |