| NPI | 1740292903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ 26NN08209700)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN08209700)  | 
| 363L00000X Nurse Practitioner (Licence: NJ NN082097)  | |
| Enumeration Date | 2006-08-13 | 
| Last Update Date | 2024-05-16 |