| NPI | 1245068444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15149400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15149400) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-10-09 |