| NPI | 1013094564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209000507) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IL 209-000507) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-07-11 |