| NPI | 1891316725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NN04811600) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP002146G) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |