| NPI | 1730597360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ0048730) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382415) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |