NPI | 1447586870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00257000) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382130-1) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2024-02-16 |