| NPI | 1861030223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ00995300) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: NJ 26NR17342600) |
| 208000000X Pediatrics (Licence: NJ 26NJ00995300) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2021-02-17 |