NPI | 1306888250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00099200) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ NR114151) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2019-08-30 |