| NPI | 1740630086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NJ 26NJ15118900) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NY 350581) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2025-02-26 |