| NPI | 1730430695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00428100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643508) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15655300) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-04-01 |