| NPI | 1982325015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01424900) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SO026125) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP026125) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-02-08 |