| NPI | 1508635558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383661) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY F383661-01) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2026-05-15 |