| NPI | 1578097358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ 26NJ00880500) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350397) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2019-09-03 |