| NPI | 1760717110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN07680500) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA up002041D) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2016-05-17 |