| NPI | 1881649093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380830-01) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380830) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-01-24 |