| NPI | 1508615931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15261100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN713189) |
| 163W00000X Registered Nurse (Licence: NJ 26NR26663600) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP028898) | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2025-02-12 |