| NPI | 1588194781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382834) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 723175) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-04-30 |