| NPI | 1124736350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383854) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 855438) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2026-01-13 |