| NPI | 1316369903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 202223706) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 668606-1) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2022-08-23 |