| NPI | 1144552183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f382220-1) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382220) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R187586) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2023-07-06 |