| NPI | 1417330838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00614200) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY f421205-1) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-09-13 |