| NPI | 1639770803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01090600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 26nj01090600) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP022584) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-09-05 |