| NPI | 1962824292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR16286600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013475) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP013475) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2017-12-01 |