| NPI | 1992070395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345821) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 645003) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2021-11-20 |