| NPI | 1114124203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NN10834400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO10834400) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-07-23 |