| NPI | 1902102775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ 26NJ00373400) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 20114) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-05-30 |