| NPI | 1649208380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NY F350064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F350064) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-12-27 |