| NPI | 1174765382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381534-1) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381534) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 381534) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-07-05 |