| NPI | 1710098918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381702-1) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F381702) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F381702-1) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-04-16 |