| NPI | 1265091292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY 382923) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NJ 26NJ00859900) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |