| NPI | 1497202204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 665600) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-02-05 |