| NPI | 1124062575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380560) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 297771-1) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-04-15 |