| NPI | 1730196551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY F381939-1) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 581722-1) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-05-31 |