| NPI | 1962134072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01266900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01266900) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-06-06 |