| NPI | 1013625185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 209026352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022418) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209026352) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-10-31 |