| NPI | 1871838110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00411100) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421108) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP013748) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2016-09-21 |