| NPI | 1932545720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382383) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 382383) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 36xxxxxx) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2023-07-07 |