| NPI | 1184743270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 203775) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380367) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |