| NPI | 1609180348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381181) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F381181) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2015-08-14 |