| NPI | 1861556763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381711) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY F381711) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2016-03-09 |