| NPI | 1982209383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP021178) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01019600) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-01-10 |