| NPI | 1669682753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8648) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f380802) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-11-01 |