| NPI | 1700092947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00335300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009134) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-10-27 |