| NPI | 1538835921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP021906) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 26NR19707000) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 25nj01154700) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-12-09 |