| NPI | 1821518978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721794) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-04-10 |