| NPI | 1578680096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350265) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 532683) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381815) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-11-27 |