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 |