NPI | 1881263820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 723472) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383274) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-02-10 |