| NPI | 1285486548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15381500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 916441-01) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-08-12 |