| NPI | 1619156940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382023) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 537304) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2021-02-19 |