| NPI | 1396448437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383628) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 74092101) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-08-17 |