| NPI | 1225185051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 380370) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 12.008134) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-12-10 |