| NPI | 1043683584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.185284) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.000473) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |