| NPI | 1588669923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ NN100486) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 68603) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11022650) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP116168) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2023-01-26 |