| NPI | 1407163397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 580414) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 580414) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |