NPI | 1134288491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00109500) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00109500) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2022-07-21 |