| NPI | 1962177576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383281) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 673759) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 383281) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-07-07 |