| NPI | 1003802729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR15415200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 415907-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 415907-1) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-04-03 |