| NPI | 1548445935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN05410100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO05410100) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2012-01-23 |