| NPI | 1093262446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382663-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 464461) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-06-21 |