| NPI | 1376396572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY F353540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353540) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-05-13 |