| NPI | 1538501234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 600236) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2017-05-12 |