| NPI | 1952632887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382094) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402021) |
| 163W00000X Registered Nurse (Licence: NY 612313-1) | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2023-07-11 |