| NPI | 1851322176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 521820-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381706) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-07-05 |