| NPI | 1821488354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00508500) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: NJ 26NJ00508500) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2022-02-11 |