| NPI | 1386879146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f383713-01) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2025-01-25 |