| NPI | 1720164783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 38381137) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 337968) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-07-21 |