| NPI | 1427464635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11000488) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11000488) |
| 163W00000X Registered Nurse (Licence: NY 22673889) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382508) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-11-23 |