| NPI | 1184927733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ NJDCATEMP014775) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382134) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2020-05-15 |