| NPI | 1356872121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 720159) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-09-26 |