| NPI | 1306965306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 356401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F380465) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |