| NPI | 1962805424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01455500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 684561) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421632) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-03-15 |