| NPI | 1528554383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343061) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 343061) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-07-03 |