| NPI | 1093299943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757630-1) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2025-05-04 |