| NPI | 1609260025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 339972) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 643958) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2019-02-26 |