| NPI | 1467885855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350349) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 350349) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-07-07 |