| NPI | 1710305909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382548) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 461073) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2016-08-23 |