| NPI | 1952651648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00417100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA SP012259) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2016-02-19 |