NPI | 1497276828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15381100) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R201092) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2025-09-16 |