| NPI | 1427560879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 404356-1) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NY F381270-1) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |