| NPI | 1902255490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00716500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18592000) |
| 163W00000X Registered Nurse (Licence: NY 701333) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-06-11 |