| NPI | 1851759872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383057) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2299120) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2023-07-03 |