| NPI | 1962903914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00820200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308607) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00820200) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405477) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-05-20 |