| NPI | 1306467014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ14868500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757715) |
| 363L00000X Nurse Practitioner (Licence: CT 9019) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-09-12 |