| NPI | 1477806917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00378800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10497800) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2015-07-10 |