| NPI | 1528303468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00408400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR14330500) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2021-08-18 |