| NPI | 1851932453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14874400) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421260) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-11-28 |