| NPI | 1699462226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2358531) |
| 163W00000X Registered Nurse (Licence: NY 887123) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-08-08 |