| NPI | 1790191708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382608) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 629734) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-11-11 |