| NPI | 1780364877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 827539) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383553-01) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-10-02 |