| NPI | 1710512710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01212900) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA 26NR17493700) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2021-10-22 |