| NPI | 1306266531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NJ00503600) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: NJ 26NJ00503600) |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010338) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-12-15 |