| NPI | 1588986954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 590317) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2019-07-30 |