| NPI | 1205607231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26nr17923500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14942300) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-11-23 |