| NPI | 1922511963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F342078-1) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY F342078-1) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |