| NPI | 1164708186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619939-1) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2022-06-10 |