| NPI | 1023405842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00558500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17038400) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |