| NPI | 1558413930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 466615) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381234) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-07-05 |