| NPI | 1952897829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00812700) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NJ 26NJ00812700) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-11-13 |