| NPI | 1881786135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY F380672-1) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-12-29 |