| NPI | 1801266705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 491700-01) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-12-05 |