| NPI | 1619754579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR18774700) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15420500) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-10-22 |