| NPI | 1982886065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 177237-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 177237-1) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |