| NPI | 1962640961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 38 382016) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 22 543334) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2016-04-25 |