| NPI | 1780558213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11047484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N22301) |
| 163W00000X Registered Nurse (Licence: FL RN9539488) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-08-06 |