| NPI | 1093244030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY F382818) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 723746-1) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2022-07-21 |