NPI | 1629587217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00733500) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00733500) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2025-07-29 |