| NPI | 1700377439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 382763) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-07-17 |