| NPI | 1033568217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 009029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 173106) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382726) | |
| 163W00000X Registered Nurse (Licence: NY 704368-1) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-08-03 |