| NPI | 1578866828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553743) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2023-08-09 |