| NPI | 1164611851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN08862200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NO08862200) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-08-31 |