| NPI | 1093176729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20099) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00610800) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 20099) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-11-11 |