| NPI | 1144750761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717938) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 022743) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-09-19 |