| NPI | 1568068310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 775040) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2025-12-04 |