| NPI | 1164512042 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ NN92499) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ NR92499) | 
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2024-12-30 |