| NPI | 1275871501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9465677) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011591) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00430700) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2023-01-18 |