| NPI | 1285472563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ15082600) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F421754-01) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |