| NPI | 1275280299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY N383455) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 779220) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-04-03 |