| NPI | 1891048658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 629792-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14600200) |
| 163WP0218X Registered Nurse Pediatric Oncology (Licence: NY 629792-1) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |