| NPI | 1942452875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382011) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 565233) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2022-07-13 |