| NPI | 1912427824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00708700) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00708700) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00708700) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-09-11 |