| NPI | 1790267714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01441700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN254953) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01441700) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-05-02 |