| NPI | 1881263820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383274) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 723472) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-10-30 |