| NPI | 1871945881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F382731-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 701197-1) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2017-05-05 |