| NPI | 1699853853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 398785) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-03-06 |