| 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 |