| NPI | 1568210367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 754666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F353297-01) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |