| NPI | 1538698493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382822) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 644651) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-05-01 |