| NPI | 1942550017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 340457) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 22616263) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-04-08 |