| NPI | 1093087439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382260) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 961698) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2014-08-21 |