| NPI | 1518405364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ01044200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339484-1) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-01-03 |