| NPI | 1083208557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349870-01) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 802706-01) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2022-09-01 |