| NPI | 1306252515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01378700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631159-1) |
| 163W00000X Registered Nurse (Licence: PA RN667596) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP014975) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-10-05 |