| NPI | 1194263020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342663) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 659458-1) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2020-02-11 |