| NPI | 1043485998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F382313-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516300-1) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-04-29 |