| NPI | 1588014070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340486-01) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 55080-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F340486-01) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-10-26 |