| NPI | 1023762374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01390000) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NO11778200) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-01-23 |