| NPI | 1952717324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 675217-1) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2015-09-06 |