| NPI | 1790200020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 342196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342196) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-03-01 |