| NPI | 1467628834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9299791) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: NJ 26NJ00113700) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2012-02-27 |