| NPI | 1598043713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00448300) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 576689-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f336860-1) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2018-04-24 |