| NPI | 1033388822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 380384) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380384-1) |
| 208000000X Pediatrics (Licence: NY F380384-1) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2014-07-30 |