| NPI | 1225680903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 383011) | 
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 383011) | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383011) | |
| Enumeration Date | 2019-07-12 | 
| Last Update Date | 2023-06-30 |