| NPI | 1669929782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00607900) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP016224) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00607900) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-03-03 |