| NPI | 1174684179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F3801311) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 237327) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-07-23 |