| NPI | 1386970093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01342500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN323434L) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2022-09-09 |