| NPI | 1851708754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382712) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 673396) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2020-02-20 |