| NPI | 1336642305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00809300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN686598) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19031000) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2021-11-01 |