| NPI | 1386720233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F381517) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9247013) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |