| NPI | 1982010260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382526-1) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 649661) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2015-11-25 |