NPI | 1528564044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382870) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: CT 136492) |
163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 742807-1) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2022-03-01 |