| NPI | 1780252528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383257) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 383257) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-07-17 |