NPI | 1134421530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NJ 26NJ00929300) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 26NJ00929300) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2022-06-13 |