| NPI | 1710342092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382568-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630911-1) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-10-25 |