| NPI | 1669936878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: NJ 26NJ00574700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 26NJ00574700) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |