| NPI | 1932777984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383271) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 748958-01) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-04-11 |