| NPI | 1164894416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 653856) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR17620300) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN642653) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |