| NPI | 1689881161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN03149400) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP003599N) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-01-15 |