| NPI | 1356309454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380448) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 380448) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-06-30 |