| NPI | 1710311188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553043) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2020-12-08 |