| NPI | 1235790577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383584) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 745257) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 745257) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-08-21 |