| NPI | 1700281177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382830-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717929-1) |
| 376K00000X Nurse's Aide (Licence: NY 343613971014E) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2018-02-27 |