| NPI | 1063533388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 041-272502) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209-001305) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 041-272502) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-04-30 |