| NPI | 1740688878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383337) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 691850-1) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9564092) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2024-06-12 |