| NPI | 1225115579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381376) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381376) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402075) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-08-10 |