| NPI | 1972086197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00855500) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NJ 26NJ00855500) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00855500) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-11-28 |