| NPI | 1922181361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F381396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 454749) |
| 363L00000X Nurse Practitioner (Licence: NY 381396) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2022-01-21 |