| NPI | 1477265213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ15232300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15232300) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15232300) | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2025-07-01 |