| NPI | 1245614148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688214) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-08-23 |