| NPI | 1841743085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704259) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2017-11-17 |