| NPI | 1912183245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 3857421) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NY 3857421) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |