| NPI | 1740793033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 24NJ00782100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 421321) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421321) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-03-13 |