| NPI | 1366858383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00831300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674085-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR18583000) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382518) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-07-22 |