| NPI | 1346424710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 7214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075893-1) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2017-11-15 |