| NPI | 1366479891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN03109700) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ NN03109700) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-06-21 |