| NPI | 1437201571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 3802901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 3583911) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-02-10 |