| NPI | 1457765422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672415) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-03-07 |