| NPI | 1265155303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 764106) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-09-12 |