| NPI | 1053446583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP001395D) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00003900) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-06-03 |