| NPI | 1689365496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ14843800) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NJ 26NR24983600) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-06-02 |