| NPI | 1326686957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383111) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 779443-01) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2024-07-22 |