| NPI | 1538615752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698986) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NY 698986) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |