| 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 |