| NPI | 1962087577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 383224) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-06-16 |