| NPI | 1487838801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 412862) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 20010581) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |