| NPI | 1598114688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 26NR1329920) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ AG0516012) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-03-07 |