| NPI | 1083104418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA SP021489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342681-1) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2020-04-24 |