| NPI | 1962069930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26nj01379100) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2327055) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP021091) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-02-12 |