| NPI | 1003152778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209010059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041363279) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |