| 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 | 2019-05-20 |