| NPI | 1891995999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NN11839000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN11839000) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-11-01 |