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 |