| NPI | 1255703054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00844900) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR16088700) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-11-20 |