| NPI | 1982939542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 341237-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 341237-1) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |