| NPI | 1528721586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383506) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ01217100) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-09-26 |