| NPI | 1962828152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NJ 26NJ00465900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00465900) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2025-02-24 |