| NPI | 1710311345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01352200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013118) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2023-03-28 |