| NPI | 1730465493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382244-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 382244) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2013-02-05 |