| NPI | 1255996021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 314348) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 314348) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-07-17 |