| NPI | 1205202660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00661700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2297140) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-07-21 |