| NPI | 1992042667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 650802) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2020-08-03 |