| NPI | 1457395121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN08245200) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-05-20 |