| NPI | 1144246513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26N007322400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN07322400) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-04-27 |