| NPI | 1881149284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1034580) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00660900) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ0060900) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-10-12 |