| NPI | 1184897696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00348300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10599800) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2014-01-06 |