| 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 |