| NPI | 1962681890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350382-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 571571) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2023-06-13 |