| NPI | 1134677289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f38209-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 684358-1) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-09-27 |