NPI | 1477956985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00534800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16625700) |
363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP014157) | |
Enumeration Date | 2014-09-29 |
Last Update Date | 2021-06-28 |