| NPI | 1285889352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382355-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649105-1) |
| 225400000X Rehabilitation Practitioner (Licence: CA 101Y00000X) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-07-11 |