| NPI | 1336475938 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00260900)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LH-0010308)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011419)  | |
| Enumeration Date | 2009-11-02 | 
| Last Update Date | 2025-10-08 |