| NPI | 1487178687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ NUR-2023-000730) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.021402) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95022954) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-02-02 |