NPI | 1487082731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00466400) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00466400) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2025-05-28 |