| NPI | 1902245632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350328) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350328) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402833) | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2020-07-09 |