| NPI | 1285416958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP1052203) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ14904400) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC005445) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |