| NPI | 1912210345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 406311) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 416311) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |