| NPI | 1336866433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ14852200) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0004645-C-NP) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-06-07 |