| NPI | 1578850558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22570374) |
| 163WS0200X Registered Nurse, School (Licence: NY 22570374) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-07-10 |