| NPI | 1932680311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY F343090) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-05-19 |