| NPI | 1609926104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 196370-1) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 1072182) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |