| NPI | 1679836605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 501366) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-01-25 |