| NPI | 1992949846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381398-1) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 399931) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2016-03-02 |