| NPI | 1831733286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01038100) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR10439500) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-12-31 |