| NPI | 1710310214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 743834-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 743834-01) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-08-31 |