| NPI | 1255837407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631114) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F3822794-1) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-07-14 |