| NPI | 1316509383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F344644) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 344644) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2021-04-12 |