| NPI | 1821202201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00140200) |
| Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: PA UP005428G) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-12-18 |