| NPI | 1740393800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380914-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 419513-1) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-04-06 |