| NPI | 1366108367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 713917) |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2021-11-14 |