| NPI | 1205242682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01460600) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421179) |
| 163W00000X Registered Nurse (Licence: NY 605485) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-05-24 |