| NPI | 1952761017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00564400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016128) |
| 363L00000X Nurse Practitioner (Licence: MD R253215) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-03-14 |