| NPI | 1134439466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 632351-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6323511) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-11-12 |