| NPI | 1225181787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11001793) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN08469100) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ NN08469100) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NN08469100) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-06-04 |