| NPI | 1992182349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26nj00518300)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00518300)  | 
| Enumeration Date | 2015-05-05 | 
| Last Update Date | 2024-04-10 |