| NPI | 1932540705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657699-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000795) | |
| 163W00000X Registered Nurse (Licence: CA 95032461) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2015-08-04 |