| NPI | 1003065517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350142-01) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ 26NJ00485000) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-09-16 |