| NPI | 1437353273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381165-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024165610) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 358860-1) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-08-03 |