| NPI | 1225547581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00765400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 26NJ00765400) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ NJ00765400) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2021-11-30 |