| NPI | 1427452846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346434) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 688407) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2025-01-03 |