| NPI | 1245485580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00927900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 11544) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DE 000000000) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP012040) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2022-04-13 |