| NPI | 1508075565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00028300) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP007556) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-08-01 |