| NPI | 1659451219 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA SP032486)  | 
| 363L00000X Nurse Practitioner (Licence: NY 381583)  | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381583)  | |
| Enumeration Date | 2006-10-17 | 
| Last Update Date | 2025-07-24 |