| NPI | 1750125761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 709192) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-08-12 |