| NPI | 1760701403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9352428) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00288100) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2022-07-21 |