| NPI | 1548637440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00593000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11644400) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-09-30 |