| NPI | 1801206842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 675913-1) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-01-30 |