| NPI | 1598537573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 000000000000) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |