| NPI | 1528667557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 346809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346809) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-05-16 |