| NPI | 1730432220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 383194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 660148-1) |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2022-12-29 |