NPI | 1821425315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01153200) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP013227) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2023-04-20 |