NPI | 1306551619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R238207) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR21664400) |
Enumeration Date | 2023-01-20 |
Last Update Date | 2024-06-10 |