NPI | 1508628157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ14994900) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14994900) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ14994900) | |
Enumeration Date | 2024-01-29 |
Last Update Date | 2025-09-24 |