| NPI | 1912694894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NJ01469900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01469900) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-07-17 |