| NPI | 1942526983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382103) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 551025) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-05-10 |