| NPI | 1750998142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383125) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 714005) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-09-16 |