| NPI | 1184093106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00589200) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ005892500) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2021-09-29 |