| NPI | 1649571654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ15028900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22478700) |
| Enumeration Date | 2010-11-07 |
| Last Update Date | 2024-05-24 |