| NPI | 1568013787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345059-01) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2022-06-21 |