| NPI | 1629060082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV 99639) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN10054100) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2019-10-18 |