| NPI | 1073853198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01060400) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN598267) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP012776) | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2021-09-27 |