NPI | 1417320987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00522500) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DC 031211) | |
364SN0000X Clinical Nurse Specialist, Neonatal (Licence: NJ 25MP00522500) | |
Enumeration Date | 2015-11-05 |
Last Update Date | 2025-05-05 |