| NPI | 1225239239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00155500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00155500) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R156835) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R156835) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R156835) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-11-18 |