| NPI | 1043562663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9359224) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382342-1) |
| 163W00000X Registered Nurse (Licence: NY 648284-1) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2014-11-18 |