| NPI | 1962153163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01411300) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: NJ 26NR11464100) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-01-03 |