| NPI | 1972477263 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 793271) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 793271) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |