| NPI | 1427681600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382936) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 382936) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 666966) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2024-06-11 |