| NPI | 1073907770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 35 350380) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 350380) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-05-15 |