| NPI | 1255451282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 190845) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |