| NPI | 1972879435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350457-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336859-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15255200) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2025-05-27 |