| NPI | 1982889291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NJ 26NJ00098500) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00098500) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |