| NPI | 1124553862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00703600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553851) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14187600) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382704) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-01-04 |