| NPI | 1477303436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NY 353851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 353851) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-10-02 |