| NPI | 1528354313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382362) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9271277) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-01-22 |