| NPI | 1902240948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382307-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591800-1) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2016-02-11 |