| NPI | 1295146918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NJ00497800) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NJ 26NJ00497800) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-11-23 |