| NPI | 1487893467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NY F350250) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F381075) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |