NPI | 1366576274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NN08486100) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NN08486100) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2022-11-02 |