| NPI | 1942216643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN07028800) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07028800) |
| 163W00000X Registered Nurse (Licence: NJ 26NO07028800) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |