NPI | 1558786087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00046600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp006664n) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2025-05-31 |