| NPI | 1669813606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658497-1) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2023-04-04 |