| NPI | 1730531088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382735-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 706473-1) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-02-15 |