| NPI | 1922304898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382133) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM TL-00989) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2022-01-05 |